After the Meeting
A Chief Nursing Officer processes what happened at the board meeting -- and discovers that the structural conflicts she has been managing for years have a name. Episode 02 of the Cascade Valley audio drama series.
Tag
Systems
5 posts
The Other Calculation
A hospital CFO runs the same numbers two ways and gets answers that disagree by a factor of five. Episode 04 of the Cascade Valley audio drama series.
The Meeting That Went Differently
A dramatized community hospital board meeting — fictional health system, real governance dynamics — showing what changes when an AI has a seat at the table.
The Meeting That Could Not Have Gone Differently
Why good people in well-run hospitals still end up in the wrong conversation, and what a structural fix might look like.
Is Non-Value-Added Work Really Neutral? Rethinking Value in Lean
A reflection on Lean's definition of value, arguing that no work is neutral—activities either create value, enable it through necessary conditions, or subtract it as waste.